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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 10, 2015; 7(10): 981-986
Published online Aug 10, 2015. doi: 10.4253/wjge.v7.i10.981
Published online Aug 10, 2015. doi: 10.4253/wjge.v7.i10.981
Current role of non-anesthesiologist administered propofol sedation in advanced interventional endoscopy
Daniela Elena Burtea, Adrian Săftoiu, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200639 Craiova, Romania
Daniela Elena Burtea, Endoscopy Department, Clinical County Emergency Hospital Craiova, 200639 Craiova, Romania
Anca Dimitriu, Anca Elena Maloş, Anesthesiology Department, Clinical County Emergency Hospital Craiova, 200639 Craiova, Romania
Adrian Săftoiu, Endoscopy Department, Gastrointestinal Unit, Copenhagen University Hospital Herlev, 2730 Herlev, Denmark
Author contributions: Burtea DE retrieved the references, carefully reviewed the literature and wrote the initial manuscript; Dimitriu A and Maloş AE contributed to the reviewing of the manuscript; Săftoiu A designed the content of the mini-review and wrote parts of the manuscript.
Supported by The Partnership program in priority areas - PN II, implemented with support from National Authority of Scientific Research (ANCS), CNDI - Uefiscdi, Romania, No. 2011-3.1-0252 (Nano-Ablation).
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Adrian Săftoiu, MD, PhD, MSc, FASGE, Visiting Clinical Professor, Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 2 Petru Rares str., 200639 Craiova, Romania. adrian.saftoiu@umfcv.ro
Telephone: +40-744-823355 Fax: +40-251-310287
Received: May 7, 2015
Peer-review started: May 9, 2015
First decision: June 3, 2015
Revised: June 21, 2015
Accepted: July 21, 2015
Article in press: July 23, 2015
Published online: August 10, 2015
Peer-review started: May 9, 2015
First decision: June 3, 2015
Revised: June 21, 2015
Accepted: July 21, 2015
Article in press: July 23, 2015
Published online: August 10, 2015
Core Tip
Core tip: A large amount of clinical research data demonstrated that propofol provides significant advantages over traditional sedation techniques during advanced endoscopic procedures like endoscopic retrograde cholangiopancreatography and/or endoscopic ultrasonography. Thus, propofol is more effective and safer than the combination of midazolam and meperidine to maintain an adequate level of sedation during advanced endoscopic procedures, with shorter recovery times and increased patient and endoscopist satisfaction. The trend of an increased usage of propofol and generalization of non-anesthesiologist administered propofol sedation in both hospital and private practice settings will certainly increase in the years to come.